Work in Right-of-Way Permit - Township of Zorra Application

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Notice of Collection

Personal information requested on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, C. 25, and will be used to issue a Work & Road Use Permit. Questions regarding this collection should be directed to the Township of Zorra, 163 Brock Street, PO Box 189, Thamesford, Ontario N0M 2M0.

Township of Zorra Work Permit Contacts:
Steve Oliver (Director of Public Services): 519-485-2490 ext 7227
Derek Collins (Construction & Fleet Supervisor): 519-485-2490 ext 7260
Josh McKay (Operations Supervisor): 519-485-2490 ext 7265

Please read carefully:

A Work in Right-of-Way Permit relates to any activity that results in traffic disruption, including bins, materials and equipment blocking lanes, or the cutting, excavation, boring, filling, additions, or altering in any way, roadways, curbs, sidewalks, boulevards, ditches, trails, and other areas within the right-of-way. A traffic plan in compliance with the Ontario Traffic Manual (OTM), Book 7, Temporary Conditions for traffic plan instructions, may be required.

Closure Notes:
1. Allow 10 business days to process permit for full road closures (40 business days if detours are on Provincial Highways).
2. Allow 5 business days to process permit for works requiring lane closures.
3. Allow 3 business days for works not requiring lane closures.
4. The use of temporary electronic traffic control devices requires prior approval from the Township of Zorra before use.
5. Traffic control must meet Ontario Traffic Manual Book 7 Temporary Conditions.
6. Work not conforming to Township of Zorra Conditions and Design Guidelines will be removed by Township Staff and cost of such work be paid by Proponent.
7. If a Road Closure is required, the Contractor MUST arrange this with the Director of Public Works. If the closure will be required for longer than anticipated, the extension MUST be discussed with the Director of Public Works or other office staff member prior to 4:00 p.m. so that an extension may be reported, if necessary.

Applicant Details

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If applying as an individual, please enter your home address

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Contractor Details

Date / Time

Special Instructions:
Allow 10 business days to process permit for full road closures (40 business days if detours are on Provincial Highways).
Allow 5 business days to process permit for works requiring lane closures.
Allow 3 business days for works not requiring lane closures.
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Location(s)

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Work in Right-of-Way Permit - Township of Zorra Details

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Do roads need to be closed, lanes reduced, detours, unavailability of on-street parking, etc., and when. You may upload traffic management plan below.
Indicate what sidewalks and paths need to be closed, capacity reduce, detours, etc. and when. You may upload a map for this purpose.
Certificate(s) to be uploaded below.
Please select the date.
This field supports the addition of your internal reference for this application.

Office Use Only

This section can only be filled out by staff.

File Uploads

See road authority's conditions.
Refer to Ontario Traffic Manual, Book 7, Temporary Conditions for traffic plan instructions.

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